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Nutrition in Clinical Practice
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Invited Reviews

Intradialytic Parenteral Nutrition and Intraperitoneal Nutrition

M. Patricia Fuhrman, MS, RD, LD, FADA, CNSD

From DCRX Infusion, Sunrise, Florida.

Correspondence: Address correspondence to: M. Patricia Fuhrman, RD, LD, FADA, CNSD, DCRX Infusion, 1932 Prospector Ridge Drive, Ballwin, MO 63011; e-mail: nutrisha50{at}earthlink.net.

Intradialytic parenteral nutrition and intraperitoneal nutrition are methods to provide supplemental nutrition support to patients with chronic kidney disease (also referred to as end-stage renal disease) while they are receiving dialytic therapy. There has been considerable controversy over indications and benefits of intradialytic parenteral nutrition and intraperitoneal nutrition. A major stumbling block had been problematic reimbursement for the therapy under Medicare. Medicare Part D has alleviated some of the reimbursement obstacles and has increased interest in reexamining the benefits and burdens of supplemental nutrition support therapies for patients receiving dialysis.

Key Words: parenteral nutrition • parenteral nutrition, total • kidney failure, chronic

Nutrition in Clinical Practice, Vol. 24, No. 4, 470-480 (2009)
DOI: 10.1177/0884533609339072
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